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Organization
PINE SURGICAL INSTITUTE
Active
Organization
PINE SURGICAL INSTITUTE
Active
Other names
Pine Surgical Institute
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDIE HERNANDEZ (DIRECTOR OF OPERATIONS)
(480) 204-4593
Entity
Organization
Contact information
Practice address
10375 PARK MEADOWS DR STE 150, LONE TREE, CO 80124-6755
(480) 204-4593
Mailing address
10375 PARK MEADOWS DR STE 150, LONE TREE, CO 80124-6755
(480) 204-4593
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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